| NPI | 1114625795 |
|---|---|
| Former Legal Business Name | POWER HEALTHCARE LLC |
| Entity Type | Organization |
| Authorized Contact | TYRONE MCRAE Owner 919-247-4821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-02-22 |